Hawkeye Family Dental
Dentist, General Practice in Iowa City, IA. Organization (NPI-2).
NPI number1457512840
StatusActive
Last updated in NPPESJun 19, 2008
Details
- NPI
- 1457512840
- Entity type
- Organization (NPI-2)
- Legal business name
- Hawkeye Family Dental
- Organization subpart
- No
- Enumeration date
- Jun 19, 2008
- Last updated
- Jun 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1705 S 1st Ave Ste PIowa City, IA 52240-6037
Phone 319-338-7172
Mailing address
1705 S 1st Ave Ste PIowa City, IA 52240-6037
Phone 319-338-7172
Authorized official
Marcy Lee Zwart Reineke
Dentist/Owner
3193415868
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